National Trends of Gender Disparity in Canadian Cardiovascular Society Guideline Authors, 2001-2020

Rai, Devesh; Waheed, Syed Hamza; Guerriero, Miranda; Tahir, Muhammad Waqas; Pandey, R.P.; Patel, Harsh; Thakkar, Samarthkumar; Mulvagh, Sharon L.; Bastiany, Alexandra; Zieroth, Shelley; Norris, Colleen M.; Spall, Harriette G.C. Van; Michos, Erin D.; Gulati, Martha

doi:10.1016/j.cjco.2021.04.003

Cited by 9 publications

(9 citation statements)

References 37 publications

(87 reference statements)

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“…Our findings are consistent with those of other reports of underrepresentation of women on guideline panels in various countries, 13‐24 particularly in leadership roles such as panel chairs 17,19,22 . The high proportion of cardiology guidelines with low female guideline panel member proportions is consistent with American and Canadian findings 16,24 . This is of particular concern given the burden of cardiovascular disease in Australia and recognised gender‐based differences in its diagnosis and treatment 28‐30 .…”

Section: Discussionsupporting

confidence: 90%

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The representation of women on Australian clinical practice guideline panels, 2010–2020

Shalit

Vallely

Nguyen

et al. 2023

Medical Journal of Australia

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Objectives To assess the composition by gender of Australian clinical practice guideline development panels; to explore guideline development‐related factors that influence the composition of panels. Design, setting, participants Survey of clinical guidelines published in Australia during 2010–2020 that observed the 2016 NHMRC Standards for Guidelines, identified (June 2021) in the NHMRC Clinical Practice Guideline Portal or by searching the Guideline International Network guidelines library, the Trip medical database, and PubMed. The gender of contributors to guideline development was inferred from gendered titles (guideline documents) or pronouns (online biographies). Main outcome measures The overall proportion of guideline panel members — the guideline contributors who formally considered evidence and formulated recommendations (ie, guideline panel chairs and members) — who were women. Results Of 406 eligible guidelines, 335 listed the names of people who contributed to their development (82%). Of 7472 named contributors (including 511 guideline panel chairs [6.8%] and 5039 guideline panel members [67.4%]), 3514 were men (47.0%), 3345 were women (44.8%), and gender could not be determined for 612 (8.2%). A total of 215 guideline panel chairs were women (42.1%), 280 were men (54.8%); 2566 guideline panel members were men (50.9%), 2071 were women (41.1%). The proportion of female guideline panel members was smaller than 40% for 179 guidelines (53%) and larger than 60% for 71 guidelines (21%). The median guideline proportion of female panel members was smaller than 50% for all but two years (2017, 2018). Conclusions The representation of women in health leadership roles in Australia does not reflect their level of participation in the health care workforce. In particular, clinical guideline development bodies should develop transparent policies for increasing the participation of women in guideline development panels.

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Section: Discussionsupporting

confidence: 90%

“…Nevertheless, substantial gender imbalances in guideline panels have been reported 13‐24 . In a study that included 454 clinical guidelines published during 2012–2017, 38% of guideline authors were women; 18 similarly, fewer than 40% of panel members were women for about one‐third of WHO guidelines (2008–2018) 13 .…”

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confidence: 99%

The representation of women on Australian clinical practice guideline panels, 2010–2020

Shalit

Vallely

Nguyen

et al. 2023

Medical Journal of Australia

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“…During our analysis, the proportion of women authors was lower than the percentage of women authors in most other fields. For example, in the Canadian Cardiovascular Society Guidelines, the proportion of women authors was 26%, and it did not significantly improve from 2001 to 2020 15 . Endocrinology clinical practice guidelines and position statements comprised 28.9% of women first authors; this proportion did not increase 16 .…”

Section: Discussionmentioning

confidence: 94%

“…improve from 2001 to 2020. 15 Endocrinology clinical practice TA B L E 1 Characteristics of 103 hepatology guidelines in the society of AGA, ACG, AASLD, APASL, BSG, EASL and KASL from January 2008 to September 2022 (n, %).…”

Section: Guidelines Women First Authorsmentioning

confidence: 99%

Gender differences of authors of major Hepatology society guidelines during the past 15 years

Tang

Luo

Hu³

et al. 2023

Liver International

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Background and Objective: Recent studies have shown that women are underrepresented as authors of medical research and clinical practice guidelines. This study aimed to evaluate gender disparities of authors of major hepatology guidelines. Methods: We reviewed the hepatology guidelines published by the following major gastroenterology societies from January 2008 to September 2022: the American Gastroenterological Association (AGA), American College of Gastroenterology (ACG), American Association for the Study of Liver Diseases (AASLD), Asian-Pacific Association for the Study of the Liver (APASL), British Society of Gastroenterology (BSG), European Association for the Study of the Liver (EASL) and Korean Association for the Study of the Liver (KASL). We determined the topic and the gender of all authors of each guideline.

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“…A recent report from Canada assessed gender disparities in the cardiovascular community and reported the persistent underrepresentation of women as authors on Canadian guideline writing group, which is consistent with our findings. 33 , 34 …”

Section: Discussionmentioning

confidence: 99%

Gender Differences in International Cardiology Guideline Authorship: A Comparison of the US, Canadian, and European Cardiology Guidelines From 2006 to 2020

Rai

Kumar

Waheed

et al. 2022

JAHA

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Background Women continue to be underrepresented in cardiology and even more so in leadership positions. We evaluated the trends and gender differences in the guideline writing groups of the American College of Cardiology/American Heart Association (ACC/AHA), Canadian Cardiovascular Society (CCS), and European Society of Cardiology (ESC) guidelines from 2006 to 2020. Methods and Results We extracted all guidelines authors from 2006 to 2020, assessed their gender from publicly available profiles, and compared differences based on subspecialties and specific societies. Stratified and trend analyses were performed using χ 2 and average annual percentage change/average 5 year percentage change. A total of 80 ACC/AHA (1288 authors [28% women]), 64 CCS (988 authors [26% women]), and 59 ESC (1157 authors [16% women]) guidelines were analyzed. A significant increase in inclusion of women was seen in ACC/AHA (12.6% [2006] to 42.6% [2020]; average annual percentage change, 6.6% [2.3% to 11.1%]; P =0.005) and ESC (7.1% [2006] to 25.8% [2020]; average annual percentage change, 6.6% [0.2% to 13.5%]; P =0.04), but the trend remained similar in CCS (20.6% [2006] to 36.3% [2020]; average annual percentage change, −0.1% (−3.7% to 3.5%); P =0.94), guideline authors. More women were coauthors in the ACC/AHA and ESC guidelines when women were chairs of guidelines. There was a persistent disparity of women among guideline authors for general cardiology and all subspecialties, except for pediatric cardiology and heart failure guidelines. The appointment of women authors as a chair was significantly low in all societies (22.4% [ACC/AHA], 16.9% [CCS], and 7.2% [ESC]; P =0.008). Conclusions There is a significant disparity in the inclusion of women on all national guideline committees, in addition to serving as a chair of cardiology guidelines. Further advocacy is required to promote equity, diversity, and inclusion in our cardiology guidelines globally.

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National Trends of Gender Disparity in Canadian Cardiovascular Society Guideline Authors, 2001-2020

Cited by 9 publications

References 37 publications

The representation of women on Australian clinical practice guideline panels, 2010–2020

The representation of women on Australian clinical practice guideline panels, 2010–2020

Gender differences of authors of major Hepatology society guidelines during the past 15 years

Gender Differences in International Cardiology Guideline Authorship: A Comparison of the US, Canadian, and European Cardiology Guidelines From 2006 to 2020

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